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Anxiety, sleep disorders and self-efficacy among nurses during COVID-19 pandemic: A large cross-sectional study.
Simonetti, Valentina; Durante, Angela; Ambrosca, Rossella; Arcadi, Paola; Graziano, Giusi; Pucciarelli, Gianluca; Simeone, Silvio; Vellone, Ercole; Alvaro, Rosaria; Cicolini, Giancarlo.
  • Simonetti V; Politecnica Delle Marche University, ASUR Marche, AV 5, Ascoli Piceno, Italy.
  • Durante A; Department of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, Italy.
  • Ambrosca R; Department of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, Italy.
  • Arcadi P; Department of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, Italy.
  • Graziano G; Center for Outcomes Research and Clinical Epidemiology (CORESEARCH), Pescara, Italy.
  • Pucciarelli G; Department of Biomedical Science and Human Oncology, University of Bari Aldo Moro, Bari, Italy.
  • Simeone S; Department of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, Italy.
  • Vellone E; Department of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, Italy.
  • Alvaro R; Department of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, Italy.
  • Cicolini G; Department of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, Italy.
J Clin Nurs ; 30(9-10): 1360-1371, 2021 May.
Article in English | MEDLINE | ID: covidwho-1083971
ABSTRACT
AIM AND

OBJECTIVES:

To assess the prevalence of anxiety, sleep disorders and self-efficacy and their predicting factors among nurses facing COVID-19.

BACKGROUND:

The spread of COVID-19 throughout the world determined a series of modifications of several National Health Service organisations, with a potential series of psychological consequences among nurses, who were particularly afflicted by this situation of changes and precariousness.

DESIGN:

A cross-sectional study was carried out from February-April 2020.

METHODS:

A total of 1,005 nurses employed in different Italian hospital wards, during the COVID-19 pandemic, were recruited. Analyses were based on descriptive statistics and multivariate logistic regression. The STROBE checklist for cross-sectional studies was used in this study.

RESULTS:

The prevalence of sleep disturbances, moderate anxiety and low self-efficacy was 71.4%, 33.23% and 50.65%, respectively. We found a positive correlation between anxiety and sleep quality (0.408; p < .0001) and negative correlations between self-efficacy and anxiety (-0.217; p < .0001) and sleep quality and self-efficacy (-0.134; p < .0001). The factor independently associated with all variables was gender. Females were more prone to sleep disturbances, anxiety and low levels of self-efficacy than males (p < .05).

CONCLUSIONS:

The prevalence of anxiety, sleep disorders and low self-efficacy among Italian nurses during the COVID-19 pandemic was high. Healthcare managers should recognise and consider these results to reduce the risk of the onset of major mental problems that could result in post-traumatic stress disorder. RELEVANCE TO CLINICAL PRACTICE Nurses facing major incidents as COVID-19 pandemic are among healthcare personnel exposed to a high risk to develop psychological disturbance that should be assessed and recognised, in order to find helpful coping strategies to inform support services and avoid to hesitate in post-traumatic stress disorders.
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Keywords

Full text: Available Collection: International databases Database: MEDLINE Main subject: Anxiety / Sleep Wake Disorders / Self Efficacy / COVID-19 / Nursing Staff, Hospital Type of study: Observational study / Prognostic study / Qualitative research / Randomized controlled trials Limits: Adult / Female / Humans / Male / Middle aged Country/Region as subject: Europa Language: English Journal: J Clin Nurs Journal subject: Nursing Year: 2021 Document Type: Article Affiliation country: Jocn.15685

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Anxiety / Sleep Wake Disorders / Self Efficacy / COVID-19 / Nursing Staff, Hospital Type of study: Observational study / Prognostic study / Qualitative research / Randomized controlled trials Limits: Adult / Female / Humans / Male / Middle aged Country/Region as subject: Europa Language: English Journal: J Clin Nurs Journal subject: Nursing Year: 2021 Document Type: Article Affiliation country: Jocn.15685